MARIE-PIERRE MFUAMBA-MUKENDI PA
NPI 1114730777
Physician Assistant in Utica, NY

Q: What is Marie-pierre Mfuamba-mukendi's NPI number?

The NPI number for Marie-pierre Mfuamba-mukendi is 1114730777. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Q: What is Marie-pierre Mfuamba-mukendi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 28, 2025PECOS EnrolledAccepts Medicare Assignment

1651 ONEIDA ST, UTICA, NY 13501(315) 793-7620(844) 683-9216 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2025, Oct 10, 2025 (2 updates tracked since 2025).

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About Marie-pierre Mfuamba-mukendi Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE-PIERRE MFUAMBA-MUKENDI PA (NPI 1114730777) is an individual physician assistant in Utica, New York, licensed in New York (033197) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114730777

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIE-PIERRE MFUAMBA-MUKENDICredential: PA

Location Address1651 ONEIDA STUtica, NY 13501-4866

Mailing Address1651 Oneida StUtica, NY 13501-4866 · (315) 793-7620 · Fax (844) 683-9216

Phone(315) 793-7620

Fax(844) 683-9216

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 28, 2025

Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1114730777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 033197

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1651 ONEIDA ST, Utica, NY 13501

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marie-pierre Mfuamba-mukendi Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981125440

PECOS Enrollment IDI20250313000257

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA MARIE DECAROLIS REGISTERED NURSE

Registered Nurse